Individual
SONIA R. AMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5050 RESEARCH CT # 125, SUWANEE, GA 30024-6606
(404) 410-7600
Mailing address
5123 WELLSLEY BND, ALPHARETTA, GA 30005-5067
(678) 675-2415
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78353
GA
106S00000X
Behavior Technician
RBT-21-169239
GA
Other
Enumeration date
06/27/2021
Last updated
01/30/2025
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